Individual provider Active NPI

Ruth Narcisse, PA-C

  • Physician Assistant
  • Clifton, NJ
National Provider Identifier
1760885925
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00342500 Issued in NJ
Practice address
266 Lakeview Ave
Clifton, NJ 07011-4026
Phone
(862) 224-9306
NPI assigned
Oct 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00342500 NJ Primary

Addresses

Primary practice location

266 Lakeview Ave
Clifton, NJ 07011-4026

Mailing address

266 Lakeview Avenue
Clifton, NJ 07011
Phone (973) 340-1222

Other practice location 1

70 S Orange Ave Ste 235
Livingston, NJ 07039-4915
Phone (973) 607-4911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25MP00342500NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Life Medical Group, PC PastSince Feb 24, 2025 Accepting new patients
Life Mobile Imaging, Inc PastSince Mar 11, 2025 Accepting new patients
Lakeview Medical Center, PC PastSince Aug 27, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ruth.narcisse.1@32967.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1760885925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 LAKEVIEW AVENUE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07011",
            "telephone_number": "973-340-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 LAKEVIEW AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070114026",
            "telephone_number": "862-224-9306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 S Orange Ave Ste 235",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "NJ",
            "postal_code": "070394915",
            "country_code": "US",
            "telephone_number": "973-607-4911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NARCISSE",
        "first_name": "RUTH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00342500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.